HomeMy WebLinkAbout1978-12-18 Pemit, New Residence #3928CITY of ORO NO )
PERMIT N? 3928
Building Permit
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED
EXPIRES
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT SITE ADDRESS ts'S" �sT A2w� (i\t4E
LEGAL DESCRIPTION: PROP. ID.
LOT __S7 BLOCK 7_ SIIRniviginNar
FIRE ZONE
VAR. DATE
COND. USE DATE
LOT AREA
WIDTH DEPTH
PROPOSED SETBACKS
FRONT R.SIDE
REAR L.SIDE
LAKE WETLANDS
ACCESS
NEW EXISTING
AGENCY-APPROV. DATE
CITY
COUNTY
STATE
PR. EASEMENT
WNER
(Name)
(Address) (Phone)
f
l C4 lzl
ARCHITECT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans
EFIT. NO.
(Firm)
(Address) (Phone)
BUILDER
(Firm)
(Address) (Phone)
A17-KQ 4ely
.w
TYPE OF WORK 1� Addition Remodel Renovate
CONST. TYPE
BLDG. SIZE
EST. CCONNST VALUATION
L. 76 LV, 3
Ct Ht.
t2or)' C� G
IL'J.
RESIDENTIAL
STORIES G
2 s
PERMIT FEES
BDRMS/FLR2
BLDG. PERMIT � n u
00
DWELL.
UNITS
STATE FEE
PLAN REVIEW n O
GAR. STALLS
AT Z.
SEPTIC
APP. DATE
DET
® 60
/
DOCK - t7
C.ot,4rt
x1Nf►T.
.ZS0r
PARK FEE r 00
NON RESIU
PROPOSED USE
SAC CHARGE WAO ° o
occ.
CLASS.
COUNCIL
STORIES
APP. DATE
TOTAL DUE °
REMARKS: ti/a C_
:-, ft r�Gu7av�cti r. L�— / /S,_,uc �NTII
----�c:,,3 ln.i°r 14 CL ► -—
INSPECTION REQUIRED
FOOTING before pour
FRAMING rough in
_ INSULATION
WALLBOARD Before Taping
_ F I N A L before occ upency
WORK BEYOND OR WITHOUT A RE
QUIRED INSPECTION WILL BE SUB-
JECT TO PENALTY.
INSPECTION HOURS 473-7357
CALL 8 - 12 A.M. INSP. I - 4 P.M.
CALL 1 - 4 P.M. INSP. NEXT DAY
WORK REQUIRING
SEPARATE PERMITS
PLUMBING __.
MECHANICAL _
WELL
SEPTIC
SEWER __-
WATER
GRADING & F ILLING
ELECTRICAL from State
COPY WHITE -FILE GREEN -FINANCE
CANARY -INSPECTOR GOLD --RECEIPT
PINK ASSESSOR
NCLE_5z5 ,
' De'_ks 11.1/0 ApprovaL
ACKNOWLEDGEMENT
THE UNDERSIGNED HEREBY REQUESTS PERMISSJA
AKE
THE REAL IMPROVEMENTS SPECIFIED, ANARES
UNDER PENALTY OF LAW ACKNOWLEDGEMENT CEPT-
ANCE OF ALL INFORMATION, CONDITIONS AUIRE-
MENTS REPRESENTED ON THIS DOCUMENT. ER -
SIGNED FURTHER AGREES TO DO ALL WORKS INCOM-
PLIANCE WITH ALL CITY OF ORONOORDINANCE TATE
OF MINNESOTA BUILDING CODE REQUIREMENTS9 Otte Si natureApproved 4s Orono